Older people’s travel and mobility needs: a reflection of a hierarchical model 10 years on

Across a sample of 123 countries, we examined the association between the fulfillment of needs and subjective well-being (SWB), including life evaluation, positive feelings, and negative feelings. Need fulfillment was consistently associated with SWB across world regions. Life evaluation was most associated with fulfilling basic needs; positive feelings were most associated with social and respect needs; and negative feelings were most associated with basic, respect, and autonomy needs. Societal need fulfillment predicted SWB, particularly for life evaluation, beyond individuals' fulfillment of their own needs, indicating the desirability of living in a flourishing society. In addition, the associations of SWB with the fulfillment of specific needs were largely independent of whether other needs were fulfilled. These trends persisted when household income was taken into account. The emergent ordering of need fulfillment for psychosocial needs were fairly consistent across country conditions, but the fulfillment of basic and safety needs were contingent on country membership.

To understand the consequences of driving cessation in older adults, the authors evaluated depression in former drivers compared with active drivers. Depression (as assessed using the Center for Epidemiological Studies Depression Scale), driving status, sociodemographic factors, health status, and cognitive function were evaluated for a cohort of 1953 residents of Sonoma County, California, aged 55 years and older, as part of a community-based study of aging and physical performance. The authors re-interviewed 1772 participants who were active drivers at baseline 3 years later. At baseline, former drivers reported higher levels of depression than did active drivers even after the authors controlled for age, sex, education, health, and marital status. In a longitudinal analysis, drivers who stopped driving during the 3-year interval (i.e., former drivers) reported higher levels of depressive symptoms than did those who remained active drivers, after the authors controlled for changes in health status and cognitive function. Increased depression for former drivers was substantially higher in men than in women. With increasing age, many older adults reduce and then stop driving. Increased depression may be among the consequences associated with driving reduction or cessation.